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People with liver disease need caution because the liver is central to both ketone production and the metabolism of many GLP-1 medications

This effect helps lower blood sugar levels, making it a valuable tool in managing diabetes

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Concentrations vary between products, so units are not interchangeable

The mechanisms by which certain medications bring about oral mucosal melanin hyperpigmentation include upregulation of tyrosinase activity, deposition of complexes of the drug with pre-existing melanin in the mucosa, or induction of local inflammatory reactions with the triggering of melanin production [11, 38]